NORTHEAST DERMATOLOGY
NPI 1174950752
Dermatology in Concord, NC

Active since September 27, 2013
200 MEDICAL PARK DR, STE 460, CONCORD, NC 28025(704) 403-2777 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 19, 2023 and 30 more (33 updates tracked since 2016).

About Northeast Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST DERMATOLOGY (NPI 1174950752) is a healthcare organization registered as a dermatology in Concord, North Carolina and active in the NPI registry since September 2013. The organization maintains a secondary practice location in Matthews and lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1174950752
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Location Address200 MEDICAL PARK DR, STE 460Concord, NC 28025-2982
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateSeptember 27, 2013
Last NPPES UpdateMarch 9, 202333 updates tracked since enumeration
✔ NPI 1174950752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
200 MEDICAL PARK DR, Concord, NC 28025

Other Names 2

Doing Business AsNortheast Dermatology
Doing Business AsAtrium Health Dermatology

Secondary Practice Location 1

Location 11100 Healing Way, Ste 11-BMatthews, NC 28104-4951 · Phone (704) 403-2777

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,529

Medicare enrollment records show 1,529 clinicians reassign Medicare billing to Northeast Dermatology, which bills Medicare for the services they deliver. Of these, 67 practice at this address and 292 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner322
Certified Registered Nurse Anesthetist (CRNA)150
General Surgery110
Internal Medicine84
Hematology/Oncology80
Neurology74
Obstetrics/Gynecology64
Psychiatry60
43 other specialties585

Nearest to this location (20)

See all 1,529
General Surgery
NPI 1588927891
200 MEDICAL PARK DR STE 430
Concord, NC 28025
(704) 403-7070
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1336296151
200 MEDICAL PARK DR STE 280
Concord, NC 28025
(704) 403-1766
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1538315833
200 MEDICAL PARK DR STE 250
Concord, NC 28025
(704) 403-4189
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1770792236
200 MEDICAL PARK DR STE 460
Concord, NC 28025
(704) 403-2777
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1386788776
200 MEDICAL PARK DR STE 280
Concord, NC 28025
(704) 403-1766
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1871563775
200 MEDICAL PARK DR SUITE 330
Concord, NC 28025
(704) 403-1308
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1508344805
200 MEDICAL PARK DR STE 430
Concord, NC 28025
(704) 403-5890
✔ PECOSSame address
Internal Medicine
NPI 1306259700
200 MEDICAL PARK DR STE 330
Concord, NC 28025
(704) 403-1308
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1023453008
200 MEDICAL PARK DR STE 330
Concord, NC 28025
(704) 403-1308
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1134190283
200 MEDICAL PARK DR STE 300
Concord, NC 28025
(704) 403-3676
✔ PECOSSame address
Orthopedic Surgery
NPI 1821430042
200 MEDICAL PARK DR STE 500
Concord, NC 28025
(704) 403-4980
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093886996
200 MEDICAL PARK DR STE 430
Concord, NC 28025
(704) 403-5890
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1164460465
200 MEDICAL PARK DR STE 520
Concord, NC 28025
(704) 403-2760
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1962629139
100 MEDICAL PARK DR SUITE 310
Concord, NC 28025
(704) 403-2660
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1164388674
100 MEDICAL PARK DR STE 310
Concord, NC 28025
(704) 381-1450
Same address
Hematology/Oncology
NPI 1902334337
100 MEDICAL PARK DR STE 110
Concord, NC 28025
(704) 403-1370
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1467558924
100 MEDICAL PARK DR STE 310B
Concord, NC 28025
(704) 403-2660
✔ PECOSSame address
Medical Oncology
NPI 1053844175
100 MEDICAL PARK DR STE 110
Concord, NC 28025
(704) 403-1370
✔ PECOS✔ Accepts MedicareSame address
Advanced Heart Failure and Transplant Cardiology
NPI 1083858047
100 MEDICAL PARK DR STE 210
Concord, NC 28025
(704) 403-6100
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1801012539
100 MEDICAL PARK DR STE 210
Concord, NC 28025
(704) 403-6100
✔ PECOS✔ Accepts MedicareSame address
See all 1,529 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Charlotte-Mecklenburg Hospital Authority's NPI number?

The NPI number for The Charlotte-Mecklenburg Hospital Authority is 1174950752. It was assigned to this organization in the NPPES registry on September 27, 2013. The provider is doing business as Northeast Dermatology and Atrium Health Dermatology.

Where is The Charlotte-Mecklenburg Hospital Authority located?

The Charlotte-Mecklenburg Hospital Authority is located at 200 Medical Park Dr Ste 460, Concord, NC 28025. The listed phone number is (704) 403-2777.

What is The Charlotte-Mecklenburg Hospital Authority's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is The Charlotte-Mecklenburg Hospital Authority enrolled in Medicare?

Yes. The Charlotte-Mecklenburg Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Charlotte-Mecklenburg Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,529 clinicians in 51 Medicare specialties reassign their Medicare billing to The Charlotte-Mecklenburg Hospital Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (322), Certified Registered Nurse Anesthetist (CRNA) (150) and General Surgery (110). Of these, 67 practice at this address and 292 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Charlotte-Mecklenburg Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list The Charlotte-Mecklenburg Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Charlotte-Mecklenburg Hospital Authority was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.